Following robotic surgery to remove prostate (Gleason 6 and PSA 8), the pathology report showed some invasion in the seminal vesicles. Surgeon assured me that because of my Gleason score, PSA level, age (61) and overall health (very good - rapide recover from surgery - full continence day catheter was removed), he believes that whatever invasion was small.

Scheduled for a blood test tomorrow and will get a first PSA reading.

Everything I read indicates that I might be a good candidate for radiation treatment.

All things considered, is there a good chance of some long-term recovery or is my prognosis unfavorable?

Thank you for your question. Please see this reference as a nice review of seminal vesicle involvement after radical prostatectomy.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1476128/

In short, SVI alone shouldn't be used as a prognostic variable to predict longterm outcomes. Gleason score, and surgical margin status should also be considered. You may request to have your slides read by pathologists who specialize in prostate cancer. Some institutions include Johns Hopkins, Weill Cornell, and Cedars Sinai.

Ashutosh (Ash) K. Tewari, MD
www.cornellroboticprostate.org

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